The Railroad Retirement Board Disability Programs Do Not Effectively Consider Fraud Risk Indicators in the Disability Decision Process

Submitting OIG:

Report Description:

Date Issued:

Friday, September 27, 2019

Agency Reviewed / Investigated:

Submitting OIG-Specific Report Number:

19-16

Location(s):

Agency-Wide

Type of Report:

Audit

Number of Recommendations:

View Document:

Attachment	Size
Audit Report 19-16.pdf	603.57 KB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation
19-16, 1	Open	No
We recommended that the Office of Programs/Disability Benefits Division define definitive fraud risks within the disability programs based on a comprehensive fraud risk assessment.
19-16, 2	Open	No
We recommended that the Office of Programs/Disability Benefits Division use the fraud risks identified to establish a scoring or other process for determining those applications where a higher risk of fraud or abuse occurring exists.
19-16, 3	Open	No
We recommended that the Office of Programs/Disability Benefits Division establish additional supervisory review and documentation protocols to ensure that decisions for higher risk applications are sufficiently reviewed and consistently documented to reflect the basis for the decision.